A&T Ethiopia Adolescent Nutrition Baseline Survey 2019: Teacher/Principal

Alive & Thrive (A&T) is an initiative that supports the scaling up of nutrition interventions to save lives, prevent illnesses, and contribute to healthy growth and development through improved maternal nutrition, breastfeeding and complementary feeding practices. In Ethiopia, A&T implemented a package of adolescent nutrition interventions through school-based (flag assemblies, classroom lessons, girls’ clubs, peer mentoring, weight and height measurement, and parent-teacher meetings) and community platforms (health post and home visits and community gatherings). This dataset is part of a survey that was conducted to gather baseline data for the impact evaluation of the interventions. The overall study objective was to determine the feasibility of delivering nutrition interventions primarily through school-based platforms and their impact on diet quality among adolescent girls. Research questions include: 1) What is the program impact on the diet of adolescent girls: (1) dietary diversity, (2) meal frequency, and (3) less consumption of unhealthy snacks? 2) What is the exposure to adolescent nutrition interventions delivered through school-based platforms? 3) What factors influenced the integration of adolescent nutrition interventions into school-based platforms and their outcomes? The evaluation used a two-arm cluster-randomized, non-masked trial design, consisting of two cross-sectional surveys of in-school adolescent girls aged 10-14 years enrolled in grades 4-8. The unit of randomization is the primary school which includes grades 1-8. The baseline survey was conducted in October-November 2019 by Addis Continental Institute of Public Health (ACIPH), the in-country research collaborator for the survey. The baseline survey included the following: 1) Adolescent girl questionnaire, 2) Parents questionnaire, 3) Teacher/Principal questionnaire, 4) Health Extension Worker (HEW) questionnaire, and 5) Primary school observation checklist. The teacher/principal interviews were conducted using pretested, structured questionnaires. Information was collected on teacher/principal background, school role, nutrition-related activities/ interventions, perceptions/beliefs, and nutrition knowledge.

生机与成长（Alive & Thrive, A&T）是一项旨在通过优化孕产妇营养、母乳喂养及辅食喂养实践，推广营养干预举措以挽救生命、预防疾病并助力健康成长发育的倡议。在埃塞俄比亚，A&T通过校本平台（升旗仪式、课堂授课、女童俱乐部、同伴辅导、体重身高测量及家校会议）与社区平台（卫生所上门服务、社区集会）实施了一套青少年营养干预套餐。本数据集为某调查的组成部分，该调查旨在为上述干预措施的影响评估收集基线数据。本研究的总体目标为明确主要通过校本平台开展营养干预的可行性，及其对青春期女童膳食质量的影响。研究问题包括：1）该项目对青春期女童膳食产生了哪些影响：(1)膳食多样性、(2)用餐频次、(3)不健康零食摄入减少情况？2）通过校本平台推行的青少年营养干预措施的暴露情况如何？3）哪些因素影响了青少年营养干预措施在校本平台的整合及其实施效果？本次评估采用两臂整群随机非盲对照试验设计，包含针对4-8年级在读、10-14岁青春期女童的两次横断面调查。随机分组的单位为开设1-8年级的小学。基线调查于2019年10-11月由本次调查的本土研究合作方亚的斯大陆公共卫生研究院（Addis Continental Institute of Public Health, ACIPH）开展。本次基线调查涵盖以下内容：1）青春期女童问卷、2）家长问卷、3）教师/校长问卷、4）健康推广员（Health Extension Worker, HEW）问卷、5）小学观察检查表。教师/校长访谈采用经过预测试的结构化问卷，收集的信息包括教师/校长的背景信息、校内工作职责、营养相关活动/干预措施、认知观念及营养知识水平。